In Reply: Drs Baines and Jindal suggest that
a desire to enhance social status was a motivation to sell kidneys. However,
all subjects mentioned economic reasons for selling their kidneys and none
mentioned this symbolic motivation as even a contributing factor in their
decision. In any case, we found no evidence that the social status of sellers
improved. Posttransplant depression would be expected given persistent poverty
and feelings of being exploited. We believe it is more important to address
these underlying reasons rather than jump to psychological therapies.
Goyal M, Mehta RL, Schneiderman LJ, Sehgal AR. Consequences of Selling a Kidney in IndiaConsequences of Selling a Kidney in India. JAMA. 2003;289(6):697. doi:10.1001/jama.289.6.697-a
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